RecruitingPhase 3NCT06187441

FeAsiBility of a Treatment Free Interval in Newly Diagnosed MM Patients Treated With Daratumumab-lenalidomide-dexamethasone (HOVON174MM)

FeAsiBility of a Treatment Free Interval in Newly Diagnosed mUltiple myeLOma Patients Treated With DaratumUmab-Lenalidomide-DexamethaSone- the FABULOUS Study. A Nationwide Open-label Randomized Phase III Clinical Trial Comparing Daratumumab-lenalidomide-dexamethasone Continuously Versus Including a Treatment Free Interval


Sponsor

Stichting Hemato-Oncologie voor Volwassenen Nederland

Enrollment

599 participants

Start Date

May 14, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

In the Netherlands, the standard treatment for multiple myeloma is a combination of different medicines named daratumumab-lenalidomide-dexamethasone, abbreviated as Dara-Rd. In many patients this treatment results in suppressing the disease for a long time. The treatment is continued until it is not effective anymore and the disease progresses. But until now it is unknown whether continuous therapy also leads to prolonging life. In addition, there are concerns about side effects, leading to a reduced quality of life, the development of severe toxicity that remains, which hampers subsequent therapy, and high costs due to prolonged treatment. There are indications that temporarily stopping treatment is safe, leading to fewer side effects and allows recovering from toxicity or damage due to treatment. This may improve the quality of life.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This Dutch study (HOVON174MM) tests whether multiple myeloma patients who have responded very well to a 12-cycle treatment with daratumumab, lenalidomide, and dexamethasone (Dara-Rd) can safely take a planned break from treatment — a 'treatment-free interval' — without their cancer returning quickly. **You may be eligible if...** - You have been diagnosed with multiple myeloma (a blood cancer) - You have completed approximately 12 cycles of Dara-Rd treatment - You plan to continue on Dara-Rd therapy - You are 18 or older - Your disease is measurable and meets the study's response criteria **You may NOT be eligible if...** - You have not completed the required number of treatment cycles - Your lenalidomide dose was reduced below 5 mg - Your disease did not respond adequately to Dara-Rd - You have serious organ problems or other cancers Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGDaratumumab Injection

Patients who have been treated with 12 cycles of Daratumumab-Lenalidomide-Dexamethasone (Dara-Rd) will be randomized between Arm A (continuous therapy) and Arm B (treatment free interval)

DRUGDexamethasone

Patients who have been treated with 12 cycles of Daratumumab-Lenalidomide-Dexamethasone (Dara-Rd) will be randomized between Arm A (continuous therapy) and Arm B (treatment free interval)

DRUGLenalidomide capsule

Patients who have been treated with 12 cycles of Daratumumab-Lenalidomide-Dexamethasone (Dara-Rd) will be randomized between Arm A (continuous therapy) and Arm B (treatment free interval)


Locations(38)

NL-Den Bosch-JBZ

's-Hertogenbosch, Netherlands

NL-Almere-FLEVOZIEKENHUIS

Almere Stad, Netherlands

NL-Amersfoort-MEANDERMC

Amersfoort, Netherlands

NL-Amsterdam- UMC

Amsterdam, Netherlands

NL-Amsterdam-AmsterdamUMC

Amsterdam, Netherlands

NL-Apeldoorn-GELREAPELDOORN

Apeldoorn, Netherlands

NL-Arnhem-RIJNSTATE

Arnhem, Netherlands

NL-Assen-WZA

Assen, Netherlands

NL-Beverwijk-RKZ

Beverwijk, Netherlands

NL-Delft-RDGG

Delft, Netherlands

NL-Deventer-DZ

Deventer, Netherlands

NL-Dordrecht-ASZ

Dordrecht, Netherlands

Nij Smellinghe Ziekenhuis

Drachten, Netherlands

NL-Ede-ZGV

Ede, Netherlands

NL-Emmen-SCHEPER

Emmen, Netherlands

NL-Enschede-MST

Enschede, Netherlands

NL-Goes-ADRZ

Goes, Netherlands

NL-Gorinchem-BEATRIX

Gorinchem, Netherlands

NL-Groningen-MARTINI

Groningen, Netherlands

NL-Hardenberg-SAXENBURGH

Hardenberg, Netherlands

NL-Harderwijk-STJANSDALHARDERWIJK

Harderwijk, Netherlands

NL-Helmond-ELKERLIEK

Helmond, Netherlands

NL-Hilversum-TERGOOI

Hilversum, Netherlands

NL-Hoofddorp-SPAARNEGASTHUIS

Hoofddorp, Netherlands

NL-Hoorn-DIJKLANDERHOORN

Hoorn, Netherlands

Alrijne Ziekenhuis Leiderdorp

Leiderdorp, Netherlands

HMC Antoniushove

Leidschendam, Netherlands

NL-Roosendaal-BRAVIS

Roosendaal, Netherlands

NL-Rotterdam-IKAZIA

Rotterdam, Netherlands

NL-Schiedam-FRANCISCUSVLIETLAND

Schiedam, Netherlands

NL-Sittard-Geleen-ZUYDERLAND

Sittard, Netherlands

NL-Sneek-ANTONIUSSNEEK

Sneek, Netherlands

NL-Terneuzen-ZORGSAAM

Terneuzen, Netherlands

NL-Tilburg-ETZ

Tilburg, Netherlands

NL-Uden-BERNHOVEN

Uden, Netherlands

NL-Venlo-VIECURI

Venlo, Netherlands

NL-Zaandam-ZAANSMC

Zaandam, Netherlands

NL-Zwolle-ISALA

Zwolle, Netherlands

View Full Details on ClinicalTrials.gov

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NCT06187441


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